Active NPI
Seung Jae Yoon, DDS
- General Practice Dentistry
- Rockville, MD
National Provider Identifier
1609056431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 13932
- Practice address
- 11921 Rockville Pike
Suite 106
Rockville, MD 20852-2737 - Phone
- (301) 231-0080
- NPI assigned
- Nov 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 13932 | MD | Primary |
Addresses
Primary practice location
11921 Rockville Pike
Suite 106
Rockville, MD 20852-2737
Mailing address
11921 Rockville Pike
Suite 106
Rockville, MD 20852-2737
Phone (301) 231-0080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13932 | MD | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194480000000",
"number": "1609056431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11921 ROCKVILLE PIKE",
"address_2": "SUITE 106",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208522737",
"telephone_number": "301-231-0080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11921 ROCKVILLE PIKE",
"address_2": "SUITE 106",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208522737",
"telephone_number": "301-231-0080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOON",
"first_name": "SEUNG",
"middle_name": "JAE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-08",
"last_updated": "2007-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "13932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.